Texas All-State Spanking Party 2009 Registration Form
All State Party 2009
Dates: March 27-29, 2009
Cost: $ 40 single females, $80 couples, $90 single males
Where: Dallas, Texas. Details will be sent via email and/or snailmail (if so requested) upon receipt of your forms and fees.
Theme: Pirates (ARGHH!!)
Print the registration and mail it with a check or money order made out to Paul Rogers:
Paul Rogers
P.O. Box 830745
Richardson, Texas 75083-0745
Checks, money orders and cash are fine; I don't have Pay Pal.
TEXAS ALL-STATE SPANKING PARTY REGISTRATION FORM
Name (Last, First) _________________________________________
Street address or dependable email address (Make SURE this is right.
Your party information will be sent this way. You can supply both if you wish.)
__________________________________________________ ___
__________________________________________________ ___
Emergency contact: (name) ____________________________________
Emergency contact phone: __________________________________________
Scene Name: (For name tag)
__________________________________________________ _________________
Circle one: Top / Bottom / Switch / Observer
Circle one: Male Female
Birthdate: ______________________
Check any that apply:
_____ I am a vendor and would like to be part of the vendor fair.
_____ I am a single lady and would like to stay in one of
the "sorority rooms."
_____ I am new and would like a "mentor.”
ALL OF THE ABOVE INFORMATION, WITH THE EXCEPTION OF
THE INFORMATION ON YOUR NAME TAG, WILL BE KEPT STRICTLY
CONFIDENTIAL. IF YOU ARE A MARRIED COUPLE, YOU MAY SIMPLY STATE THE
NAME OF YOUR SPOUSE AS YOUR EMERGENCY CONTACT, IF HE/SHE
WILL BE AT THE PARTY ANYWAY.
My signature below certifies that I have read the party rules and
agree to abide by them. I will hold the All-State Party organizers
harmless for any injuries or accidents to my person, regardless of
the cause of same, including, but not limited to any injury or
accident caused solely by the negligence of the organizers. I will
hold the organizers harmless for any lost or stolen items of personal
property that belong to me. I will be responsible for any accidents,
injuries, or damages to any persons or property caused by myself or
my actions. I certify that I will not be under the influence of any
illicit or mind-altering drugs at the party.
__________________________________________________ ____ ____________
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